Individual
LIDA ANN CROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
1568 EAGLE RIDGE CT NE, ALBUQUERQUE, NM 87122-1152
(505) 856-1252
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
79-152
NM
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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